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GOLD-MIS-03

Missing information · gold-v0.1

Case inputs

As of
2026-06-20
Patient
29 years, FL
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-118823
Policy
immunara-v0.1
Inputs
sha256:ff11e8eec9b3…

Documents 1

Physician note

problem_list
SYNTHETIC RECORD - Example Fairview Urgent Care - Problem List - 2026-06-18
Patient reference SYN-5521. 29-year-old woman.

- Three weeks of swelling and warmth in both wrists and both knees, onset after a mild febrile illness.
- Differential includes rheumatoid arthritis versus reactive or post-viral arthritis; rheumatoid factor and anti-CCP pending.
- Whether any arthritis medication has ever been tried is unclear; the patient is not a reliable historian today.
- Plan: hold on any disease-modifying therapy until serology returns and the diagnosis is clarified.

Decisions by provider

REQUEST_INFOcorrect

Decided by: documentation gate · auto_process 0.89

Judgments

p_yes for yes/no questions; ticks are the thresholds a gate compares each one with.

Diagnosis supported
0.030
Step therapy met
0.000
Documentation complete
0.140
Material contradiction
0.110
Missing evidence
DIAGNOSIS 0.960
others: TREATMENT_HISTORY 0.04
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=29, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.110, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.140, request info below 0.6

  5. missing_evidencenot reached
  6. auto_processnot reached
  7. default_reviewnot reached

passed = the gate checked and did not fire; not reached = an earlier gate decided.

  • documentation is likely incomplete (p_yes=0.140)
  • most likely missing: diagnosis (p=0.960)
Run details· q-v0.2

run_20260925T170857Z_b95be9 · q-v0.2 · immunara-v0.1 (v0.1)

auto_process 0.89, chosen on gen-v0.2-dev.

questions: q-v0.2 →

Show expected answer (evaluation only)